Preservation of the Labial Bone
Conditions
Brief summary
eighteen implants will be placed in patients with non-restorable maxillary teeth in the aesthetic area.the recruited patients will be divided into two groups .group 1 will undergo socket shield technique with immediate temporization ,while group 2 will undergo conventional immediate implant placement with immediate temporization. to compare bone loss and aesthetic outcomes in the two techniques.
Interventions
socket shield technique with immediate temporization
conventional immediate implant placement with immediate temporization
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with non-restorable maxillary anterior teeth in the esthetic zone indicated for implant placement. * Both sexes. * No intraoral soft and hard tissue pathology * No systemic condition that contraindicate implant placement
Exclusion criteria
* Heavy smokers more than 20 cigarettes per day. * Patients with systemic disease that may affect normal healing. * Psychiatric problems * Disorders to implant are related to history of radiation therapy to the head and neck neoplasia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| implant stability | immediately after implant placement | implant stability will be measured using osstell device |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Amount of bone loss | after 3 month from implant insertion. | Will be measured using linear measurements from CBCT |
Other
| Measure | Time frame | Description |
|---|---|---|
| pink aesthetic score | immediately after implant placement and three month later | The gingival response to a anterior esthetic evaluation is assessed by the Pink Esthetic Score (PES) from clinical photography according to six variables scored from 0→2: 1. Mesial & distal papillae, 2. Keratinized gingiva, 3. Curvature of the gingival margin, 4. Level of the gingival margin, 5. Root convexity(torque), 6. Scar formation. |
Countries
Egypt